Predictors of Progression and Prognosis of Paroxysmal Atrial Fibrillation / 대한내과학회지
Korean Journal of Medicine
;
: 672-679, 2015.
Article
in Korean
| WPRIM
| ID: wpr-155272
ABSTRACT
BACKGROUND/AIMS:
Significant numbers of patients with paroxysmal atrial fibrillation (AF) proceed to persistent AF and have poor clinical outcomes despite the use of antiarrhythmic agents or direct-current cardioversion. We compared the CHADS2, CHA2DS2-VASc, and HATCH scoring systems to predict AF progression and prognosis and identify the most useful scoring system in Korea.METHODS:
A total of 559 consecutive patients with paroxysmal symptomatic AF were analyzed. The progression of AF and clinical outcomes were determined after at least 1 year of follow-up. Clinical outcomes were defined as the composite of death, hospitalization due to heart failure, and new-onset stroke. Each score was calculated, and its predictive accuracy for AF progression and prognosis was compared.RESULTS:
A total of 147 patients with paroxysmal AF (26.3%) proceeded to persistent AF. The HATCH score (area under the curve [AUC], 0.601; p or = 6 55.6%, linear p < 0.001) than the CHADS2 (AUC, 0.720) and HATCH scoring systems (AUC, 0.723).CONCLUSIONS:
Although the CHADS2, CHA2DS2-VASc, and HATCH scoring systems were useful predictors of progression from paroxysmal to persistent AF, the CHA2DS2-VASc score was the most useful and accurate for the prediction of clinical outcomes.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Atrial Fibrillation
/
Electric Countershock
/
Follow-Up Studies
/
Stroke
/
Heart Failure
/
Hospitalization
/
Korea
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2015
Type:
Article
Similar
MEDLINE
...
LILACS
LIS